A systemic lupus erythematosus patient with thunderclap headache: reversible cerebral vasoconstriction syndrome
| العنوان: | A systemic lupus erythematosus patient with thunderclap headache: reversible cerebral vasoconstriction syndrome |
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| المؤلفون: | Hyung-In Yang, Sang Hyub Lee, R Ra, Seung-Jae Hong, Keung-Ho Lee, Youn-Hyung Lee, Sung Hyuk Heo, Ran Song, Sang Wan Chung |
| المصدر: | Lupus. 28:898-902 |
| بيانات النشر: | SAGE Publications, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Headache Disorders, Primary, Cerebral arteries, Central nervous system, Magnetic resonance angiography, Diagnosis, Differential, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, immune system diseases, Internal medicine, medicine, Humans, Vasospasm, Intracranial, skin and connective tissue diseases, Nimodipine, Thunderclap headaches, 030203 arthritis & rheumatology, medicine.diagnostic_test, business.industry, Lupus Vasculitis, Central Nervous System, Brain, Syndrome, Cerebral Arteries, medicine.disease, Reversible cerebral vasoconstriction syndrome, medicine.anatomical_structure, Vasoconstriction, Cardiology, Female, Headaches, medicine.symptom, Vasculitis, business, Magnetic Resonance Angiography, 030217 neurology & neurosurgery, medicine.drug |
| الوصف: | Headaches are common in patients with systemic lupus erythematosus (SLE). It is important to identify the exact cause of headaches in SLE to avoid unnecessary steroid or immunosuppressive therapy like in neuropsychiatric SLE. A 35-year-old woman with SLE suddenly developed severe headache. Magnetic resonance angiography showed multifocal segmental narrowing of cerebral arteries, suggestive of central nervous system vasculitis. However, lack of abnormal enhancement in vessel wall imaging indicated reversible cerebral vasoconstriction syndrome (RCVS) rather than central nervous system vasculitis. The patient was treated with oral nimodipine and she recovered over a period of two months. Following magnetic resonance angiography on day 90 was normal. Herein we report a case of reversible cerebral vasoconstriction syndrome in an SLE patient with literature review. |
| تدمد: | 1477-0962 0961-2033 |
| DOI: | 10.1177/0961203319845485 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::84514863b5406db563312dfc9880b042 https://doi.org/10.1177/0961203319845485 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....84514863b5406db563312dfc9880b042 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14770962 09612033 |
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| DOI: | 10.1177/0961203319845485 |